Summary Findings 2014 Victorian Student Health and Wellbeing Survey, ‘About You’ 1 Published by the Performance and Evaluation Division Department of Education and Training Melbourne 2015 © State of Victoria (Department of Education and Training) 2015 The copyright in this document is owned by the State of Victoria (Department of Education and Training), or in the case of some materials, by third parties (third party materials). No part may be reproduced by any process except in accordance with the provisions of the Copyright Act 1968, the National Education Access Licence for Schools (NEALS) (see below) or with permission. An educational institution situated in Australia which is not conducted for profit, or a body responsible for administering such an institution may copy and communicate the materials, other than third party materials, for the educational purposes of the institution. Authorised by the Department of Education and Training 2 Treasury Place, East Melbourne, Victoria, 3002. Contents Background ................................................................................................................... 5 When interpreting the About You data… .................................................................... 6 Key statistics at a glance.............................................................................................. 7 How healthy are Victoria’s young people? ................................................................. 8 General health ............................................................................................................................. 8 Special Health Care Needs ......................................................................................................... 8 Asthma ......................................................................................................................................... 9 Physical activity.......................................................................................................................... 10 Electronic media use ................................................................................................................. 11 Healthy eating ............................................................................................................................ 12 Weight ........................................................................................................................................ 12 Oral health ................................................................................................................................. 13 Risky health behaviours ............................................................................................. 14 Sexual activity ............................................................................................................................ 14 Smoking ..................................................................................................................................... 14 Alcohol ....................................................................................................................................... 15 Illicit drugs .................................................................................................................................. 15 Emotional Wellbeing ................................................................................................... 16 Psychological resilience ............................................................................................................. 16 Quality of life .............................................................................................................................. 17 Psychological distress ............................................................................................................... 17 Social experiences and supports .............................................................................. 18 Bullying ...................................................................................................................................... 18 Cyber bullying ............................................................................................................................ 19 Trusted adult .............................................................................................................................. 20 Family functioning ...................................................................................................................... 21 Connectedness to peers ............................................................................................................ 21 Additional information ................................................................................................ 22 References .................................................................................................................. 23 Summary findings from the 2014 About You Survey 3 This page is left intentionally blank Summary findings from the 2014 About You Survey 4 Background The Department of Education and Training conducted the first Victorian Student Health and Wellbeing Survey (‘About You’) in 2014. About You included a sample of approximately 6,000 students from 264 Victorian schools. It was an anonymous voluntary population survey of Year 5, Year 8 and Year 11 students, undertaken with parental consent. The About You instrument covers a wide range of outcome areas for young Victorians, including physical health and health risk behaviours, psychological/emotional wellbeing, and school and family relationships. It draws on questions from the Health Behaviour in School-aged Children (HBSC) and the previous Victorian Adolescent Health and Wellbeing Survey (HowRU?) run by the then Department of Education and Early Childhood Development in 2009. The HBSC survey is conducted in 42 countries across Europe and North America. A key addition to the survey content was the direct collection of students’ height and weight from a subsample of around 1,500 students, which addresses a major data gap around obesity and overweight among Victorian children and young people at the state level. The survey was designed to meet the following information needs: providing health and wellbeing measures for Victorian young people that are not available from other sources; enabling reporting of data in areas of high priority for the Education State agenda, namely resilience and physical activity; providing internationally-comparable state-level data for certain measures; directly collecting height and weight of students to address data gaps in overweight and obesity data for children and young people in Victoria. Survey results This report presents a summary of state and cohort results on key issues. Area based data are published through the Victorian Child and Adolescent Monitoring System (VCAMS) website: http://www.education.vic.gov.au/about/research/pages/vcams.aspx Summary findings from the 2014 About You Survey 5 When interpreting the About You data… About You is a cross sectional survey – it is possible to identify associations between variables in the dataset but we cannot attribute cause and effect. There are no controls for confounding factors in this analysis, for example the higher rates of alcohol consumption among regional students may be due to factors other than rurality, on which rural students vary from metropolitan students. For example, socio-economic status is on average lower in regional Victoria compared with metropolitan areas, and the difference in consumption may be related to this disparity rather than to rurality per se. The estimates provided are based on sample data weighted to reflect the Victorian student population, and the confidence intervals indicate that there is a 95 per cent probability that the true value lies between the upper and lower limits of the confidence interval. Therefore, if the confidence intervals of two population groups do not overlap, it can be assumed that the true values of the two estimates are unlikely to fall within the same distribution, and that there is a true difference. The student response rate in recruited schools was 76% fully responding. Response rates were highest for Year 5 (77%), declining slightly for Year 8 (76%) and Year 11 (75%). Summary findings from the 2014 About You Survey 6 Key statistics at a glance Topic Proportion Findings of note General health – Students with ‘good, very good or excellent’ health 87.8% Students from one parent families were less likely to rate their health as good, very good or excellent, compared to students from couple families. Asthma – Students with current asthma 12.1% Boys, and children in regional Victoria, were significantly more likely to have current asthma than girls, and children in metropolitan Victoria. Physical activity – Students doing at least one hour of exercise per day 26.0% Boys were more likely to meet this guideline than girls, and rates of physical activity declined with year level. Nutrition – Students meeting fruit intake guidelines 69.5% Boys, and students from one parent families were less likely to meet fruit intake guidelines. The proportion of students meeting the guidelines declined with year level. Nutrition – Students meeting vegetable intake guidelines 12.8% The proportion of students meeting the vegetable intake guidelines declined with year level. Weight – Students who were overweight or obese 26.7% No notable statistically significant differences for demographic cohorts. Sexual activity – Students who have had sex (Years 8 and 11) 16.9% Students in regional Victoria, and students from one parent families were more likely to have had sex, compared to other students. Smoking – Students who have smoked cigarettes 8.3% Students from one parent families were more likely to have smoked cigarettes, and proportions increased with year level. Alcohol – Students who have consumed alcohol (Years 8 and 11) 59.5% Students in regional Victoria were more likely to have consumed alcohol than students from metropolitan Victoria. Students from language backgrounds other than English were less likely to have consumed alcohol compared to other students. Psychological resilience – Students with a high level of resilience 70.1% Students from one parent families, and from language backgrounds other than English were less likely to have high levels of resilience compared to other students. Quality of life – Students satisfied with the quality of their lives 76.6% Girls, students from one parent families, and students from language backgrounds other than English were less likely to be satisfied with the quality of their lives. Psychological distress – Students who showed high levels of depressive symptoms 15.5% Girls, and students from one parent families were more likely to show high levels of depressive symptoms. Bullying – Students who reported recent experience of bullying 45.1% Girls were more likely to experience bulling compared to boys, and bullying declined with year level. Cyber bullying – Students who had experienced cyber bullying in the last 30 days 29.3% Girls, and students from a language background other than English were more likely to report cyber bullying, and cyber bullying increased with year level. Trusted adult – Students who have a trusted adult in their lives 70.7% Students from one parent families, and from language backgrounds other than English were less likely to have a trusted adult in their lives. Summary findings from the 2014 About You Survey 7 How healthy are Victoria’s young people? General health Most Victorian students in the About You Survey reported their health as good, very good or excellent (88 per cent). Younger students were more likely to rate their health positively (90 per cent in year 5 compared to 87 per cent in Year 8 and 80 per cent in Year 11). Students living in one parent families were less likely to rate their health positively (85 per cent), compared with their peers from couple families (90 per cent). Young people from language backgrounds other than English were also less likely to report good, very good or excellent health (85 per cent) compared with other students (88 per cent). Special Health Care Needs Some children and young people have long term health conditions which require medication, therapy or other support. Around one in five students (19 per cent) in the About You Survey reported having a special health care need, which is defined as “having or being at increased risk for a chronic physical, developmental, behavioural, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally.” i Girls were significantly more likely to report a special health care need (25 per cent) compared with boys (12 per cent), and Year 11 students were more likely to report a special health care need than Year 8 students (23 per cent compared with 16 per cent). Summary findings from the 2014 About You Survey 8 Figure 1: Proportion of students with special health care needs, Victoria 2014 Asthma Around 12 per cent of students reported having current asthma, and this varied little by gender or year level. Students from regional Victoria were more likely to have asthma (15 per cent) compared with metropolitan students (11 per cent). Students from language backgrounds other than English were less likely to report current asthma (8 per cent) compared with other students (13 per cent). Summary findings from the 2014 About You Survey 9 Physical activity Participating in physical activity and sport has many benefits for young people. These include benefits for self-esteem, positive social interactions, and a reduction in the symptoms of depression. ii Physical activity also protects against overweight, obesity and other health issues. According to the Survey, only one in four students (26 per cent) reported doing 60 minutes or more of physical activity every day, meeting the National Physical Activity guidelinesiii. Boys were more likely to meet the guidelines than girls (31 per cent compared with 21 per cent), and physical activity declined sharply with year level (32 per cent of students meeting the guidelines in Year 5, compared with 17 per cent in Year 8 and 12 per cent in Year 11). Summary findings from the 2014 About You Survey 10 Figure 2: Proportion of students doing at least one hour of exercise per day, by gender and year level, 2014 45.0% 40.0% 36.6% 35.0% 27.9% 30.0% 21.8% 18.8% 25.0% 20.0% 12.9% 15.0% 7.2% 10.0% 5.0% 0.0% Male Female Male Year 5 Female Year 8 Male Female Year 11 Electronic media use Research also suggests a strong relationship between sedentary behaviour/sitting time and negative health outcome indicators, including the risk of chronic disease and obesity. National Sedentary Behaviour Guidelinesiii recommend that young people limit the use of electronic media for entertainment (for example, television, seated electronic games and computer use) to no more than two hours a day. The Survey found that the majority of students (61 per cent) exceeded the national recommendations for electronic media use, of 2 hours per day. Boys (65%) were more likely to exceed the guidelines than girls (57 per cent). The proportion of students exceeding the guidelines increased markedly with year level, from 50 per cent in Year 5, to 78 per cent in Year 8, and 82 per cent in Year 11. Summary findings from the 2014 About You Survey 11 Healthy eating The National Health and Medical Research Council’s (NHMRC) Australian Dietary Guidelines give advice on eating for health and wellbeing, based on scientific evidence. They describe the best approach to eating for a long and healthy life, including recommended servings of each of the five food groups for children and adults. For young people in the age range covered by the Survey, the recommended daily intake of fruit and vegetables is 2 servings of fruit, and 5 to 5.5 servings of vegetables. iv Over two-thirds of students (69 per cent) met the NHMRC fruit intake guidelines. This proportion was lower for boys (67 per cent) compared to girls (72 per cent), and declined with year level from 74 per cent in Year 5, to 65 per cent in Year 8 and 59 per cent in Year 11. Students living in couple families were more likely to meet fruit intake guidelines (72 per cent) than students from one-parent families (63 per cent). Only a minority of students met the NHMRC vegetable intake guidelines (13 per cent), and this varied little by gender or family type. There was some decline with year level, from 15 per cent in Year 5, to 9 per cent in Year 8 and 8 per cent in Year 11. One in five students (22 per cent) reported eating sweets (lollies or chocolates) every day. This rate varied little by gender but declined with year level, from 25 per cent in Year 5, to 19 per cent in Year 8, and 14 per cent in Year 11. Weight While two-thirds of Victorian students were within the healthy Body Mass Index (BMI) range for their age and gender (66 per cent), around one in five were overweight (21 per cent) and a further 6 per cent were obese. Around 7 per cent were underweight. Summary findings from the 2014 About You Survey 12 Figure 3: Proportion of students in each Body Mass Index range, 2014 6% 7% 21% Underweight Healthy weight Overweight Obese 66% Rates of overweight and obesity increased slightly with year level, from 25 per cent in Year 5, to 29 per cent in Year 8 and 30 per cent in Year 11, however the differences were not statistically significant. Boys were slightly more likely to be overweight or obese (27 per cent) compared to girls (26 per cent), and slightly more likely to be underweight (8 per cent compared with 6 per cent) but again these differences were not statistically significant. Oral health Most young people brushed their teeth at least twice a day (64 per cent), and girls were more likely to brush twice a day or more (71 per cent compared to 58 per cent of boys). Young people from one parent families were less likely to brush their teeth twice a day or more (57 per cent) compared with young people from couple families (67 per cent). Young people from language backgrounds other than English were more likely to brush their teeth at least twice a day (71 per cent) compared with other young people (64 per cent). Summary findings from the 2014 About You Survey 13 Risky health behaviours Sexual activity Sexual intercourse before the age of 16 years is associated with lower use of contraception, more sexual partners, a higher risk of sexually transmitted infections and teenage pregnancy. v Around one in six students in Years 8 and 11 (17 per cent) reported having had sex, 6 per cent in Year 8 and 32 per cent in Year 11. Boys were more likely to have had sex than girls (18 per cent compared to 16 per cent), however this difference was not statistically significant. Students in regional Victoria were significantly more likely to have had sex (22 per cent) compared to metropolitan students (15 per cent), and a higher proportion of young people in one parent families had had sex (22 per cent) compared to young people in couple families (14 per cent). Among sexually active Year 11 students, the mean age of sexual initiation was 15.3 years old. This mean age varied little by student demographics. Only one in four (27 per cent) sexually active Year 8 and 11 students reported always using a condom when having sex. There were no statistically significant differences between demographic groups for condom use. Figure 4: Proportion of students who have had sexual intercourse, 2014 Smoking Less than one in ten (8 per cent) students in Years 5, 8 and 11 had ever smoked cigarettes, and this proportion was similar for both boys and girls. Only a very small proportion (1 per cent) of Year 5 students had smoked cigarettes, though this increased to 10 per cent for Year 8 and 35 per cent for Year 11 students. Students from one parent families were more likely to have smoked cigarettes (13 per cent) compared to students from couple families (7 per cent). Summary findings from the 2014 About You Survey 14 Alcohol National guidelines for alcohol consumption recommend that not drinking alcohol at all is the safest choice for young people under 18 years. Children under 15 years of age are at greatest risk of harm from drinking, and for this reason, not drinking alcohol is especially importantvi. Evidence has shown that alcohol consumption is harmful to the developing brain, particularly to the area of the brain responsible for rational thinking. Damage to this part of the brain during its development can lead to learning difficulties, memory problems, mental health issues and other problems later in life such as alcohol dependence vii. According to the About You Survey, the majority of students in Years 8 and 11 had consumed more than a few sips of alcohol at least once (60 per cent). Around half (49 per cent) of Year 8 students, and three quarters (75 per cent) of Year 11 students had consumed alcohol. Regional students were more likely to have drunk alcohol (69 per cent) compared to students in metropolitan Victoria (56 per cent). Students from language backgrounds other than English were less likely to have drunk alcohol (42 per cent) compared with other students (62 per cent). Illicit drugs Around one in eight (13 per cent) Year 8 and 11 students had tried marijuana or other illegal drugs on at least one occasion, 5 per cent of Year 8 and 24 per cent of Year 11 students. Students living in one parent families were more likely to have tried illegal drugs (19 per cent) than students living in couple families (10 per cent). Marijuana was the most commonly tried illegal drug (5 per cent of Year 8 and 24 per cent of Year 11), with 2 per cent of Year 8 and 9 per cent of Year 11 students having tried other illegal drugs in total. Summary findings from the 2014 About You Survey 15 Emotional Wellbeing Psychological resilience Psychological resilience refers to an adaptive and healthy state of social and emotional functioning. Young people who are psychologically resilient are more likely to respond constructively to challenges and difficulties they face in their lives. Ryan and Deci (2000)viii developed a scale which assesses autonomy (sense of personal agency), relatedness (positive connections with others) and competence (feeling capable or masterful), and About You uses a shortened version of this, known as the Basic Psychological needs scale. Most students in the survey (70 per cent) showed a high level of psychological resilience on this scale, and this varied little by gender or year level. Students living in couple families were significantly more likely to have a high level of psychological resilience (74 per cent) compared to students from one parent families (65 per cent). Students from language backgrounds other than English were less likely to have a high level of resilience (60 per cent) compared with other students (72 per cent). Summary findings from the 2014 About You Survey 16 Figure 5: Proportion of students with a high level of resilience, 2014 80.0% 70.1% 70.9% 70.0% 69.2% 70.6% 69.2% 69.3% 74.5% 71.6% 65.1% 59.8% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% Victoria Male Female Year 5 Year 8 Year 11 Couple family One parent family LBOTE Not LBOTE Quality of life Students were asked to rate their life at the moment on a scale from 0: “Worst possible life” to 10 “Best possible life”. Most students (77 per cent) rated their life at least a 7 on this scale. Boys were more likely to be satisfied with their lives (80 per cent) compared to girls (74 per cent). Life satisfaction did not vary significantly with year level. Students in couple families were more likely to be satisfied with their lives (81 per cent) compared .with students from one parent families (68 per cent). Young people from language backgrounds other than English were less likely to report satisfaction with their lives (70 per cent) compared with other young people (78 per cent). Psychological distress On an index of depressive symptoms based on the International Youth Development Study (IYDS), short version moods and feelings scale, around one in six students (16 per cent) showed high levels of depressive symptoms. Girls were more likely to show depressive symptoms (19 per cent) compared to boys (11 per cent), and young people from one parent families were more likely to experience depressive symptoms (24 per cent) than young people from couple families (13 per cent). Summary findings from the 2014 About You Survey 17 Social experiences and supports Bullying Bullying by peers can have a damaging impact on engagement with school, and can lead to social and emotional issues for young people. Almost half of Victorian students in Years 5, 8 and 11 reported recent experience of bullying (45 per cent), defined in the survey as having been teased or called names; had rumours spread about you; being deliberately left out of things; or being physically threatened or harmed. This proportion declined with year level from 47 per cent in Year 5, to 44 per cent in Year 8 and 38 per cent in Year 11. Girls were more likely to say they had experienced recent bullying (47 per cent compared with 43 per cent of boys). Students from one parent families were more likely to experience bullying (51 per cent) compared to students from couple families (43 per cent). The most commonly reported form of bullying in the survey was being teased or called names (31 per cent). Girls were more likely than boys to experience having rumours spread about them (22 per cent compared with 16 per cent), and being deliberately left out of things (25 per cent compared with 19 per cent). Boys were more likely to have been physically threatened or actually harmed (16 per cent compared with 9 per cent). Summary findings from the 2014 About You Survey 18 Figure 6: Proportion of students experiencing types of bullying, by gender, 2014 9.3% Physically threatened or hurt 16.0% 24.8% Deliberately left out of things 18.6% Female Rumours spread about you 16.2% 31.8% Teased or called names 0.0% Male 22.2% 30.5% 10.0% 20.0% 30.0% 40.0% Around one in seven students reported being bullied every day (15 per cent). Like bullying generally, this declined with increasing year level, from 17 per cent in Year 5, to 14 per cent in Year 8, and 12 per cent in Year 11. Boys and girls were roughly equally likely to be bullied every day (15 per cent of boys and 16 per cent of girls). Cyber bullying Cyber bullying is bullying that is done through the use of technology, for example, using the Internet or a mobile phone to hurt or embarrass someone. It is often done in secret and anonymously, and can be shared widely with a lot of people quickly, which can make it particularly dangerous and hurtful. Around one in three students (29 per cent) reported experiencing cyber bullying in the last 30 days. Unlike general bullying, cyber bullying increased with year level, from 26 per cent in Year 5 to 33 per cent in Year 8, and 36 per cent in Year 11. One in three girls experienced recent cyber bullying (33 per cent) compared with one in four boys (25 per cent). Students from one parent families were more likely to experience cyber bullying than students from couple families (34 per cent compared with 27 per cent). Students from language backgrounds other than English were also more likely to experience cyber bullying (37 per cent) compared to other students (28 per cent). The most commonly reported form of cyber bullying in the survey was being made fun of in a chat room (12 per cent of all students). Summary findings from the 2014 About You Survey 19 Trusted adult For young people, having a trusted adult in their lives is considered a strong protective factor against school disengagement, mental health issues and development of anti-social or risky behaviours. Parents, carers, relatives and teachers can play a significant role in building resilience in young people and contribute to learning and development, health and wellbeing. In About You, the majority of young people reported having a trusted adult in their lives (71 per cent). This proportion was similar for boys and girls, but declined with increasing year level, from 74 per cent in Year 5, to 66 per cent in Year 8, and 64 per cent in Year 11. Young people from one parent families were less likely to have a trusted adult in their lives (66 per cent) compared with young people living in couple families (76 per cent). Young people from language backgrounds other than English were also less likely to have a trusted adult in their lives (64 per cent compared with 72 per cent of other young people). Summary findings from the 2014 About You Survey 20 Figure 7: Proportion of students with a trusted adult in their lives, 2014 90.0% 80.0% 70.7% 69.1% Victoria Male 70.0% 72.1% 75.7% 74.0% 65.9% 63.7% Year 8 Year 11 71.7% 66.1% 64.2% One parent family LBOTE 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% Female Year 5 Couple family Not LBOTE Family functioning Healthy family functioning is a key protective factor for children’s resilience. It includes positive parenting that establishes fair rules and role models family values which contribute to a child’s sense of wellbeing and to developing positive and self-regulating behaviours. Family functioning is considered unhealthy in this case where both family conflict and disorganisation are present. Nine out of ten young people lived in a family with healthy family functioning (87 per cent). Girls were more likely to report healthy family functioning (88 per cent) than boys (85 per cent). Older students were less likely to report healthy family functioning (76 per cent of Year 11 students compared with 87 per cent of Year 8 and 89 per cent of Year 5). Family functioning was more likely to be healthy for young people living in couple families (90 per cent) compared with young people from one parent families (87 per cent). Young people from language backgrounds other than English were less likely to be living in families with healthy family functioning (82 per cent) compared with other young people (87 per cent). Connectedness to peers Connectedness to peers is an important protective factor for learning, development and wellbeing. Peer acceptance can reduce the negative impact of disadvantage, violent marital conflict and harsh discipline. Most young people (93 per cent) reported feeling connected to their peers. Connectedness to peers increased with year level, from 91 per cent in Year 5, to 94 per cent in Year 8 and 97 per cent in Year 11. Almost all girls had at least one close female friend (97 per cent) and most had at least one close male friend (82 per cent). Boys were slightly less likely to have close friends, but still most boys had at least one close male friend (94 per cent) and the majority had at least one close female friend (78 per cent). Summary findings from the 2014 About You Survey 21 Additional information Area based data are published through the Victorian Child and Adolescent Monitoring System (VCAMS) website: http://www.education.vic.gov.au/about/research/pages/vcams.aspx For further information on the About You survey, contact the Performance and Evaluation Division, Department of Education and Training on 03 9947 1850 or email vcams@edumail.vic.gov.au Summary findings from the 2014 About You Survey 22 References i McPherson M, Arango P, Fox H, et al. “A new definition of children with special health care needs”, Paediatrics, 1998; 102: 137‐140 ii Vella, S., Cliff, D., Magee, C. & Okely, D. (2014). “Sports participation and parent-reported health-related quality of life in children: longitudinal associations” The Journal of Paediatrics iii Australian Government Department of Health: National Physical Activity and Sedentary Behaviour Guidelines (2014) iv National Health and Medical Research Council (2013). Eat for Health: Australian Healthy Eating Guidelines. v Department of Education and Early Childhood Development (2013) State of Victoria’s children 2011 vi National Health and Medical Research Council.(2013). Australian guidelines to reduce health risks from drinking alcohol: Commonwealth of Australia vii Department for Communities Office for Youth and Drug and Alcohol Office. (2007). Young People and Alcohol. Government of Western Australia. viii Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55, 68–78. Summary findings from the 2014 About You Survey 23